Tally Youngblood finds herself in a world that's not so perfect after all. In a society where your apperance is altered on your 16th birthday to become super pretty anyone without the sugery is considered ugly. Tally looses Peris her childhood friend to Pretty town, and misses him so much she takes huge risks and sneaks into town to see him. Later Tally leared that Peris didn't want to have anything to do with uglyvill. Longing for a friend she meets Shay and they had a blast until Shay leaves to somewhere called the Smoke. Special Circumstances shows up and make Tally decide between 2 completly diffrent worlds. Will Tally be able to keep herself whole?